Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Joanne San Juan Fedelicio, MSNRN

Individual provider Registered Nurse · NPI 1932406444

Mrs. Joanne San Juan Fedelicio, MSNRN is a Registered Nurse in Ridgewood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2

Practice location Address checks out

376 Woodward Ave Apt 2L
Ridgewood, NY 11385-1357
Phone: (347) 689-4420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 558454 (NY)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 558454 (NY)

Record details

NPI number1932406444
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNRN
Sole proprietorYes
NPI enumeratedFebruary 17, 2011
Last updated in NPPESFebruary 17, 2011

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